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2. Electronic Plan Submittal: Please submit in .PDF format containing the application, attachments, and all plans. In addition, submit four (4) paper copies of the same. (Additional copies may be requested.)
B. CONTIGUOUS LAND STATEMENT: State as to whether or not the owner applicant has a proprietary interest, or in any way has other contractual interest in any land which is continuous to the land which is the subject of this subject of this request. If so, also attach a legal description of the property and identify as "Additional Land Holdings in the Area." State the interest in such land.
D. LIST OF SURROUNDING PROPERTY OWNERS WITHIN 200' ON MAILING LABELS: This may be obtained from the Pinellas County Property Appraisers Office.
F. CERTIFIED BOUNDARY SURVEY OF THE PROPERTY: Survey must be current, within the last 12 months, and sealed.
(i.e. soils, topography, wetlands, or other preservation or conservation designations)
I HEREBY CERTIFY that I have read and understand the contents of this application, and that this application together with all supplemental data and information is a true representation of the facts concerning this request; that this application is made with my approval, as owner and applicant, as evidenced by my signature below. It is hereby acknowledged that the filing of this application does not constitute automatic approval of the request; and further that if the request is approved, I will obtain all necessary permit permits and comply with all applicable orders, codes, conditions, rules and regulations pertaining to the use of the subject property.
COUNTY OF _______________________________
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